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Neurogenic Comm Dis
Test 3
Question | Answer |
---|---|
6 Steps to Assessment | 1. chart review & case history 2. neurological eval 3. 4 modality test 4. functional language tests 5. single modality tests 6. connected speech |
What are the four modalities? | 1. auditory comprehension 2. verbal expression 3. reading comprehension 4. written expression |
Tasks to Assess Verbal Expression | - naming - fluency - automatic speech and singing - assess syntax and morphologic aspects |
Tasks to Assess Auditory Comprehension | - comprehension of single words - comprehension of commands - assess comprehension of sentences and connected speech |
Tasks to Assess Reading Skills | - assess oral reading skills - assess reading comprehension |
Tasks to Assess Writing | - assess general writing skills - assess graphomotor skills (only to determine if this is going to be functional or is they need a referral to an OT) |
Formal Assessment | - aka test - differ in purpose and what conclusions can be drawn - typically quantitative - used to establish pretherapy baseline, establish need for therapy |
Informal Assessment | - clinician gathered data - typically qualitative - purpose is to distill the most appropriate clinical goals as the steps between formal and informal |
International Classification of Functioning, Disability, and Health Model (ICF) | - loss of body function - restrictions in activity participation - personal factors - environmental factors |
Spontaneous Recovery | - reduction in swelling/edema - return of blood flow or contralateral blood flow - greatest gains made in first 2 months and will continue at a slower rate afterwards |
Goals of Therapy (3) | 1. provide education to patient and family regarding aphasia 2. provide the appropriate treatment techniques 3. to provide opportunities for carryover and generalization outside of the clinic |
Scientific Model | - toolbox of EBP - use of science behind our decision - make sure that treatment is individual to the client |
Education Model | - one size fits all |
Group Studies | findings are generalized to greater populations |
Single-Subject Designs | measures the effectiveness of specific forms of aphasia tx approach |
Which approach is most reported in research? | The Schuell Stimulation Approach |
What is the best amount of intervention to provide per week? | 2+ hours |
E, P, I, C, CP | - environment - person - impairment - level of communication - communication partners |
Global Aphasia | - non-fluent - no comprehension - no repetition |
Mixed Transcortical Aphasia | - non-fluent - no comprehension - repetition is a relative strength |
Broca's Aphasia | - non-fluent - comprehension is a relative strength - no repetition |
Transcortical Motor Aphasia | - non-fluent - comprehension is a relative strength - repetition is a relative strength |
Wernicke's Aphasia | - fluent - no comprehension - no repetition |
Transcortical Sensory Aphasia | - fluent - no comprehension - repetition is a relative strength |
Conduction Aphasia | - fluent - comprehension is a relative strength - no repetition |
Anomic Aphasia | - fluent - comprehension is a relative strength - repetition is a relative strength |
MCA Blood Supply | - transcortical motor - brocas - wernickes - transcortical sensory - anomic - conduction - mixed transcortical - global |
ACA Blood Supply | - transcortical motor |
PCA Blood Supply | - conduction |
Pure Word Deafness | - the person cannot understand, repeat, or write the words head from dictation, but speech and reading are not impaired |
Word Meaning Deafness | - person is able to repeat and write but without meaning |
Word Form Deafness (Rare) | - can make minimal pair discriminations but with phonological impairments |
Dissociation | - the fact that some abilities remain relatively intact while others are relatively impaired |
Neologisms | - made up words |
Paraphasia | - words substituted for target words |
Semantic Paraphasia | - substitution on a real word for the target word |
Phonemic Paraphasia | - substitution of one or more sounds in the target word |
Logorrhea | spoken language that is overly fluent |
Pressed Speech | incoherent speech |
Perseveration | reoccurrences of mostly previous responses to a subsequent stimulus |
Circumlocations | words used other than intended words |